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Individual

MEGAN L. LYTLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5050 N CLINTON ST, FORT WAYNE, IN 46825-5886
(260) 484-8551
(260) 482-5060
Mailing address
5052 N CLINTON ST, FORT WAYNE, IN 46825-5822
(260) 484-8551
(260) 482-5060

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01061829A
IN
207L00000X
Anesthesiology Physician
ME96489
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200956160
IN
05
277124100
FL
Enumeration date
08/08/2006
Last updated
11/20/2024
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